If you prefer not to use the NHS E-referral system, you can refer patients to Wilmslow Health Centre’s Diagnostic Ultrasound service by:

  1. Faxing a referral form to: 01625 548287
  2. Posting a referral form to: ‘Ultrasound Department’, Wilmslow Health Centre, Chapel Lane, Wilmslow, Cheshire, SK9 5HX

Please use the referral form below:

  1. Click for GP Ultrasound Request Form 2016.
  2. Emis-Mergeable forms that auto-populate with patient and referral details are also available. Please contact our admin team if you require one.
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